Search › Missouri › 163W00000X
Andrew Dickerson
NPI 1528503364 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5637 Walnut Point Ln
Saint Charles, MO 63304 - Phone
- (636) 300-3017
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri